Permit 1-` l;`•� CITY OF TIGARD SEWER CONNECTION PERMIT
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'I 2 ,., COMMUNITY DEVELOPMENT Permit#: SWR201500116
"i;., Date Issued: 11/02/2015
TIIGrARLI 13125 SW Hall Blvd ,Tigard OR 97223 503 718 2439 Parcel: 1S136AA00201
Jurisdiction: Tigard
Site address. 10315 SW 67TH AVE
Project: Oak Street Estates,Lot 28 Subdivision: 2007-031 PARTITION PLAT Lot: 2
Project Description: New SF
Contractor: Owner LENNAR NORTHWEST INC
11870 NE 99TH ST, STE 1170
VANCOUVER,WA 98682
PHONE PHONE.
FAX
FEES
Description Date Amount
Specifics: Sewer Connection Fee 11/02/2015 $5,100 00
Sewer Inspection-Residential 11/02/2015 $35 00
Type of Use: SF
Class of Work: NEW
Install Type Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $5,135 00
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable
law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if
work is suspended for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Center Those rules are set forth in OAR 952-001-00 • • _ • OAR 952-001-0090 You may obtain a copy of the rules or direct questions
to OUNC by calling 503 232 1987 or 1 800 332 2344 /
Issued By: / Permittee Signature: //i .
Call : • 9.4175 by 7:00 a.m.for the nex able inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.